Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,282.10 / $6,962.00 / $16,300.00	Facility		$2,282.10	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.11 / $2,038.06 / $2,287.41	Professional		$1,291.11	$2,038.06	$2,287.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $153.76 / $256.27	Professional		$120.27	$153.76	$256.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $13,010.00 / $15,675.00	Facility		$7,227.90	$13,010.00	$15,675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,173.41 / $7,173.41 / $7,173.41	Professional		$7,173.41	$7,173.41	$7,173.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $2,122.51 / $2,824.39	Professional		$1,415.00	$2,122.51	$2,824.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $15,675.00 / $15,675.00	Facility		$597.00	$15,675.00	$15,675.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,173.41 / $7,173.41 / $7,173.41	Professional		$7,173.41	$7,173.41	$7,173.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.40 / $2,373.63 / $6,308.06	Professional		$1,555.40	$2,373.63	$6,308.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,455.87 / $1,455.87 / $1,455.87	Facility		$1,455.87	$1,455.87	$1,455.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,455.87 / $2,203.16 / $3,054.20	Professional		$1,455.87	$2,203.16	$3,054.20